Quality Primary Healthcare- An Agenda For Action

Foreword I am very pleased that the document 'India: Guaranteeing quality primary health care for all – an agenda for action' has been prepared for consultation with States. Health is a State subject and our approach under the National Rural Health Mission has been to encourage State level leadership and ownership of the programme. If NRHM is doing well in most of the States and UTs today, one major reason is the total sense of ownership by the States. This document is a further step in that direction. In partnership with States, an effort has been made to identify the key areas for action and reform. In doing so, it is our belief that it is possible to craft a credible public system that is affordable, accessible and accountable. The journey of NRHM so far (2005-2008) has been an extremely interesting one. It has witnessed an unprecedented increase and improvement in outpatient services, institutional deliveries, immunization services, diagnostics, emergency ambulance facilities, family welfare services, and an over all faith in the public system. The guaranteed availability of doctors, drugs and diagnostics has helped in restoring the confidence in the public system in many parts of the country. I am sure this document will lead to useful discussions and further facilitate the crafting of a credible public system of health care that provides quality services. It has rightly identified the following seven areas as the key areas for action:

1. Communitization through decentralization. 2. Human resources for health.

3. Management of public health system – the system approach for convergent action. 4. Financing of health care. 5. Monitoring against indian public health standards. 6. Inter sectoral convergence to imapct on wider determinants of health. 7. Creating capacity for asset creation and maintenace and for procurement and logistics in a transprent and sustainable way. NRHM has unleashed an unprecedented interest in the health sector. It is our belief that sustained attention to the health sector will help India achieve the ambitious goals of the Mission. It has the potential to accelerate India's achievement of the Millenium Development Goals (MDGs). For a country with sustained high rates of economic development over the last decade, the thrust on social development will make the agenda for inclusive growth and human development even more real and sustainable.

Naresh Dayal Secretary July, 2008

Ministry of Health & Family Welfare

New Delhi.

Government of India

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OPD Patients in Bihar

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Inst. Del. (%age)

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No. of Institutional Deliveries

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PHC FACILITIES - TAMIL NADU

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Overview of Fund Release under NRHM

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NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS

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NRHM -

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